Adam J Berger

Bio: Adam J Berger is an academic researcher. The author has contributed to research in topics: Coronary vasospasm & Coccidiosis. The author has an hindex of 1, co-authored 1 publications receiving 183 citations.

Cardiac arrest in a young man following excess consumption of caffeinated “energy drinks”

Abstract: An otherwise healthy 28-year-old man had a cardiac arrest after a day of motocross racing. He had consumed excessive amounts of a caffeinated "energy drink" throughout the day. We postulate that a combination of excessive ingestion of caffeine- and taurine-containing energy drinks and strenuous physical activity can produce myocardial ischaemia by inducing coronary vasospasm.

Reduced efficacies of diclazuril and toltrazuril against Eimeria ovinoidalis and Eimeria crandallis in two French sheep-meat farms

Abstract: Background: Lamb coccidiosis, caused by intestinal parasites of the Eimeria genus, has pronounced health and economic impacts throughout the world. Eimeria ovinoidalis and Eimeria crandallis are the most pathogenic species in sheep. Control of these parasites requires the use of anticoccidial drugs such as sulfonamides, diclazuril, and toltrazuril. In this study, resistance to anticoccidial drugs was suspected in two farms as clinical signs (diarrhea) persisted after treatment. Method: On each farm, 4.5-month-old rams were divided into three groups so that they were either (i) left untreated (Control group), (ii) treated with diclazuril (1 mg/kg body weight), or (iii) treated with toltrazuril (20 mg/kg body weight). Animals were treated at day 0 (D0) and fecal samples were collected at D0 and eight days later (D8) to evaluate the reduction in intensity of Eimeria oocyst excretion. Oocyst morphology and morphometry were used to identify Eimeria species at both sampling dates. Results: Reduction of oocyst shedding was incomplete in both farms (92.44% and 93.58%) after diclazuril treatment. More specifically, the efficacy was reduced in both farms for E. ovinoidalis/Eimeria marsica (92.59% and 91.87%) and E. crandallis/Eimeria weybridgensis (75.34% and 80.10%). The general efficacy of toltrazuril was high in both farms (97.6% and 97.96%). However, a slightly reduced efficacy was noted in farm 1 for E. crandallis/E. weybridgensis (93.26%) while this efficacy was high in farm 2 (98.88%). Conclusions: We suggest a simple protocol to investigate the efficacy of anticoccidial treatments in sheep and to rapidly identify potentially resistant species. In these two farms, treating animals with diclazuril will select pathogenic species, and toltrazuril could favor resistant E. crandallis/E. weybridgensis in one of them.

Health Effects of Energy Drinks on Children, Adolescents, and Young Adults

Abstract: OBJECTIVE: To review the effects, adverse consequences, and extent of energy drink consumption among children, adolescents, and young adults. METHODS: We searched PubMed and Google using “energy drink,” “sports drink,” “guarana,” “caffeine,” “taurine,” “ADHD,” “diabetes,” “children,” “adolescents,” “insulin,” “eating disorders,” and “poison control center” to identify articles related to energy drinks. Manufacturer Web sites were reviewed for product information. RESULTS: According to self-report surveys, energy drinks are consumed by 30% to 50% of adolescents and young adults. Frequently containing high and unregulated amounts of caffeine, these drinks have been reported in association with serious adverse effects, especially in children, adolescents, and young adults with seizures, diabetes, cardiac abnormalities, or mood and behavioral disorders or those who take certain medications. Of the 5448 US caffeine overdoses reported in 2007, 46% occurred in those younger than 19 years. Several countries and states have debated or restricted energy drink sales and advertising. CONCLUSIONS: Energy drinks have no therapeutic benefit, and many ingredients are understudied and not regulated. The known and unknown pharmacology of agents included in such drinks, combined with reports of toxicity, raises concern for potentially serious adverse effects in association with energy drink use. In the short-term, pediatricians need to be aware of the possible effects of energy drinks in vulnerable populations and screen for consumption to educate families. Long-term research should aim to understand the effects in at-risk populations. Toxicity surveillance should be improved, and regulations of energy drink sales and consumption should be based on appropriate research.

Sports drinks and energy drinks for children and adolescents: Are they appropriate?

Abstract: Sports and energy drinks are being marketed to children and adolescents for a wide variety of inappropriate uses. Sports drinks and energy drinks are significantly different products, and the terms should not be used interchangeably. The primary objectives of this clinical report are to define the ingredients of sports and energy drinks, categorize the similarities and differences between the products, and discuss misuses and abuses. Secondary objectives are to encourage screening during annual physical examinations for sports and energy drink use, to understand the reasons why youth consumption is widespread, and to improve education aimed at decreasing or eliminating the inappropriate use of these beverages by children and adolescents. Rigorous review and analysis of the literature reveal that caffeine and other stimulant substances contained in energy drinks have no place in the diet of children and adolescents. Furthermore, frequent or excessive intake of caloric sports drinks can substantially increase the risk for overweight or obesity in children and adolescents. Discussion regarding the appropriate use of sports drinks in the youth athlete who participates regularly in endurance or high-intensity sports and vigorous physical activity is beyond the scope of this report.

Caffeine: Cognitive and Physical Performance Enhancer or Psychoactive Drug?

Abstract: Caffeine use is increasing worldwide. The underlying motivations are mainly concentration and memory enhancement and physical performance improvement. Coffee and caffeine-containing products affect the cardiovascular system, with their positive inotropic and chronotropic effects, and the central nervous system, with their locomotor activity stimulation and anxiogenic-like effects. Thus, it is of interest to examine whether these effects could be detrimental for health. Furthermore, caffeine abuse and dependence are becoming more and more common and can lead to caffeine intoxication, which puts individuals at risk for premature and unnatural death. The present review summarizes the main findings concerning caffeine's mechanisms of action (focusing on adenosine antagonism, intracellular calcium mobilization, and phosphodiesterases inhibition), use, abuse, dependence, intoxication, and lethal effects. It also suggests that the concepts of toxic and lethal doses are relative, since doses below the toxic and/or lethal range may play a causal role in intoxication or death. This could be due to caffeine's interaction with other substances or to the individuals' preexisting metabolism alterations or diseases.

Energy Beverages: Content and Safety

Abstract: Exercise is making a resurgence in many countries, given its benefits for fitness as well as prevention of obesity. This trend has spawned many supplements that purport to aid performance, muscle growth, and recovery. Initially, sports drinks were developed to provide electrolyte and carbohydrate replacement. Subsequently, energy beverages (EBs) containing stimulants and additives have appeared in most gyms and grocery stores and are being used increasingly by "weekend warriors" and those seeking an edge in an endurance event. Long-term exposure to the various components of EBs may result in significant alterations in the cardiovascular system, and the safety of EBs has not been fully established. For this review, we searched the MEDLINE and EMBASE databases from 1976 through May 2010, using the following keywords: energy beverage, energy drink, power drink, exercise, caffeine, red bull, bitter orange, glucose, ginseng, guarana, and taurine. Evidence regarding the effects of EBs is summarized, and practical recommendations are made to help in answering the patient who asks, "Is it safe for me to drink an energy beverage when I exercise?"